Provider Demographics
NPI:1922049469
Name:ARGENBRIGHT, BRET FRANK (OD)
Entity Type:Individual
Prefix:MR
First Name:BRET
Middle Name:FRANK
Last Name:ARGENBRIGHT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W KAGY BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6056
Mailing Address - Country:US
Mailing Address - Phone:951-296-1822
Mailing Address - Fax:951-296-1821
Practice Address - Street 1:41720 WINCHESTER RD
Practice Address - Street 2:STE D
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4871
Practice Address - Country:US
Practice Address - Phone:951-296-1822
Practice Address - Fax:951-296-1821
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9167OPT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0091670Medicaid
CASD0091670Medicaid
CASD0091670Medicare PIN
CA4633610001Medicare NSC